Healthcare Provider Details

I. General information

NPI: 1952675936
Provider Name (Legal Business Name): KAREN KOWENSKI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2012
Last Update Date: 06/11/2022
Certification Date: 06/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4909 BISSONNET ST STE 115
BELLAIRE TX
77401-4051
US

IV. Provider business mailing address

4909 BISSONNET ST STE 115
BELLAIRE TX
77401-4051
US

V. Phone/Fax

Practice location:
  • Phone: 324-631-1528
  • Fax: 713-324-0521
Mailing address:
  • Phone: 832-463-1152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number033183
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1250561
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: